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A case report and literature review of barium sulphate aspiration during upper gastrointestinal examination.

Abstract Even though barium sulphate aspiration during upper gastrointestinal examination is a well-known phenomenon, complication such as long-term lung injury and death may still occur. This may depend upon the concentration, amount, anatomy, or certain predisposing factors.
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29381987
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - A case report and literature review of barium sulphate aspiration during upper
      gastrointestinal examination.
PG  - e8821
LID - 10.1097/MD.0000000000008821 [doi]
AB  - RATIONALE: Even though barium sulphate aspiration during upper gastrointestinal
      examination is a well-known phenomenon, complication such as long-term lung
      injury and death may still occur. This may depend upon the concentration, amount,
      anatomy, or certain predisposing factors. PATIENT CONCERNS: A 47-year-old woman
      who had a barium swallow to screen for foreign body in esophagus. DIAGNOSES:
      Chest radiographs demonstrated massive barium sulphate depositions in her trachea
      and inferior lobe of right lung. INTERVENTIONS: A chest x-ray was done that
      revealed massive barium sulphate depositions in her trachea and lower lobe of
      right lung. As the patient did not have further complaints, she requested a
      transfer to West China Hospital of Sichuan University, the hospital being near
      her residence, for further treatment. She eventually recovered and was discharged
      after 1 week. OUTCOMES: There were 23 articles (22 English and 1 Chinese with 17 
      men and 11 women) included in the study. The risk factors of barium sulphate
      aspiration are dysphagia (10/28, 35.71%) followed by esophageal obstruction
      caused by tumor (5/28, 17.86%) and foreign body in esophagus (3/28, 10.71%).
      Infants (5/28, 17.86%) are also one of the high-risk population. Both the lungs
      were affected in most of the patients (21/28, 75%). Majority of the presentation 
      in patients (21/28, 75%) were dyspnea, hypoxemia, acute respiratory distress
      syndrome (ARDS), or respiratory failure. Few patients (7/28, 25%) showed no
      symptoms or mild symptoms such as cough and fever. Barium sulphate aspiration can
      be life-threatening with a high risk of death (nearly 40%). LESSONS: When
      performing an upper gastrointestinal examination with barium sulphate, careful
      consideration of concentration and amount of barium sulphate and that of risk
      factors should be undertaken so as to avoid life-threatening aspiration.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Yan, Gao-Wu
AU  - Yan GW
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Deng, Jiang-Fa
AU  - Deng JF
AD  - Department of Radiology, The People's Hospital of Lezhi, Ziyang.
FAU - Bhetuwal, Anup
AU  - Bhetuwal A
AD  - Sichuan Key Laboratory of Medical Imaging and Department of Radiology, Affiliated
      Hospital of North Sichuan Medical College, Nanchong.
FAU - Yang, Guo-Qing
AU  - Yang GQ
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Fu, Quan-Shui
AU  - Fu QS
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Chen, Hong
AU  - Chen H
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Hu, Na
AU  - Hu N
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Zeng, Hao
AU  - Zeng H
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Fan, Xiao-Ping
AU  - Fan XP
AD  - Department of Radiology, Suining Central Hospital, Suining.
FAU - Yan, Gao-Wen
AU  - Yan GW
AD  - Department of Radiology, The First People's Hospital of Suining City.
FAU - Wu, Xiao-Lin
AU  - Wu XL
AD  - Department of Gastroenterology, Suining Central Hospital, Suining, Sichuan
      Province, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Contrast Media)
RN  - 25BB7EKE2E (Barium Sulfate)
SB  - AIM
SB  - IM
MH  - Barium Sulfate/*adverse effects
MH  - Contrast Media/*adverse effects
MH  - Endoscopy, Digestive System/*adverse effects
MH  - Esophagus/*diagnostic imaging
MH  - Female
MH  - Foreign Bodies/*diagnostic imaging
MH  - Humans
MH  - Middle Aged
MH  - Radiography
MH  - Respiratory Aspiration/*chemically induced
MH  - Trachea/diagnostic imaging
PMC - PMC5708986
EDAT- 2018/02/01 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1097/MD.0000000000008821 [doi]
AID - 00005792-201711270-00078 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8821. doi: 10.1097/MD.0000000000008821.